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Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Factors associated with mortality in patients undergoing coronary artery bypass grafting
Cintia Koerich1, Gabriela Marcellino de Melo Lanzoni2, Alacoque Lorenzini Erdmann3
1Doctoral Student, Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil. RN, Hospital Infantil Joana de Gusmão, Secretaria do Estado da Saúde de Santa Catarina, São José, SC, Brazil.
Insights
This study identified factors linked to mortality after coronary artery bypass grafting (CABG). Female patients and Black individuals had higher mortality rates, with septic shock prolonging hospitalization and increasing death risk.
Area of Science:
- Cardiovascular Surgery
- Public Health
Background:
- Coronary artery bypass grafting (CABG) is a critical procedure for treating coronary artery disease.
- Understanding mortality factors post-CABG is essential for improving patient outcomes and healthcare strategies.
Purpose of the Study:
- To investigate factors associated with mortality in patients undergoing coronary artery bypass grafting.
- To identify demographic, clinical, and hospitalization-related variables influencing CABG patient survival.
Main Methods:
- A quantitative, exploratory, descriptive, and retrospective study.
- Analysis of medical records from 1447 patients between 2005 and 2013.
- Statistical analysis of patient profiles, diagnoses, risk factors, complications, and causes of death.
Main Results:
- The overall mortality rate was 5.3% during the study period.
- Higher mortality was observed in females and Black patients, with a mean age of 65 years.
- Acute myocardial infarction was the most common diagnosis; cardiovascular complications were frequent, and prolonged hospitalization correlated with death from septic shock.
Conclusions:
- Findings support nursing interventions for early complication detection and prevention in CABG patients.
- Data can serve as quality indicators for healthcare managers to improve patient care planning and high-complexity health services.
Objective:
to investigate the factors associated with mortality in patients undergoing coronary artery bypass grafting in a cardiovascular referral hospital in Santa Catarina.
Method:
quantitative, exploratory, descriptive and retrospective study. The medical records of 1447 patients, from 2005 to 2013, were analyzed for statistically related variables, these being: profile, hospitalization diagnosis, risk factors for coronary artery disease, complications recorded during the hospitalization, length of hospitalization and cause of death.
Results:
the mortality rate was 5.3% during the study period. Death was more common in females and those of black skin color, with a mean age of 65 years. Acute myocardial infarction was the most common hospitalization diagnosis. The majority of the complications recorded during hospitalization were characterized by changes in the cardiovascular system, with longer hospitalization periods being directly related to death from septic shock.
Conclusion:
the data provide subsidies for nursing work with preventive measures and early detection of complications associated with coronary artery bypass grafting. This reinforces the importance of using the data as quality indicators, aiming to guarantee care guided by reliable information to guide managers in planning patient care and high complexity health services.
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